MCC 2011 - Slide 20

Stomata in rectal cancer surgery G.L. Beets Department of Surgery University Hospital Maastricht The Netherlands

[object Object],[object Object],[object Object],[object Object],[object Object]

Goal of deviating stoma ,[object Object],[object Object],[object Object]

Morbidity of diverting stoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diverting stoma? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Does it make sense to create a diverting stoma and omit MBP?

MBP evidence – colorectal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MBP evidence - rectal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Greccar III trial Brettagnol et al. Ann Surg 2010 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Low rectal anastomosis: ,[object Object],[object Object]

Surgical bar talk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

General outcome ,[object Object],[object Object],[object Object],[object Object],[object Object]

Stoma outcome ,[object Object],[object Object],[object Object],[object Object],[object Object]

Stoma closure ,[object Object],[object Object],[object Object],[object Object],[object Object]

Stoma functioning ,[object Object],[object Object],[object Object],[object Object]

Other reports ,[object Object],[object Object],[object Object],[object Object]

Review Rondelli ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusion ileostomy vs colostomy ,[object Object],[object Object],[object Object],[object Object]

Timing of closure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Early closure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

techniques ,[object Object],[object Object],[object Object],[object Object],[object Object]

‘ Gun-sight’ Lim et al DCR 2010

Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Maastricht University Medical Center

MCC 2011 - Slide 20

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